Jonathan James Grimm

NPI #1275172983 in Twin Falls, Idaho

Provider Information

NPI Number: 1275172983
Entity Type: Individual
Name: Jonathan James Grimm
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Dec 27, 2019
Last Updated: Dec 27, 2019

Practice Location

Address: 801 POLE LINE RD W
City: Twin Falls
State: Idaho
ZIP Code: 83301-5810
Phone: (208) 814-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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